Individual provider Active NPI

Edward D. Young, M.D.

  • Orthopaedic Surgery Physician
  • Jacksonville Beach, FL
National Provider Identifier
1306840772
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME57493 Issued in FL
Practice address
1577 Roberts Dr
Suite 225
Jacksonville Beach, FL 32250-3264
Phone
(904) 241-1204
Fax
(904) 241-7331
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME57493 FL Primary

Addresses

Primary practice location

1577 Roberts Dr
Suite 225
Jacksonville Beach, FL 32250-3264

Mailing address

1325 San Marco Blvd
Suite 701
Jacksonville, FL 32207-8568
Phone (904) 346-3465

Other identifiers 1

IdentifierTypeStateIssuer
3704157-00MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joireferrals@joi.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000288 FL Practitioner - Orthopedic Surgery 7416972955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Orthopaedic Institute IncGroup PAC ID 5193625499, 60 clinicians

Practice addresses (Care Compare)

1577 Roberts Dr
Suite 225And226
Jacksonville Beach, FL 32250-3264
Phone (904) 241-1204

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Ormond Beach, FL, CCN 108499
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039
  • Fleet Landing Nursing home, Atlantic Beach, FL, CCN 105743

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement64
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME57493FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Orthopaedic Institute Inc Orthopaedic Surgery CurrentSince Aug 23, 2005 Accepting new patients
Jacksonville Orthopaedic Institute Inc Orthopaedic Surgery Past Accepting new patients
Jacksonville Orthopaedic Institute Inc Past Accepting new patients

Locations

1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465

7740 Point Meadows Dr
Ste 7
Jacksonville, FL 32256
Phone (904) 202-6400

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

1325 San Marco Blvd
Ste 701
Jacksonville, FL 32207

1577 Roberts Dr
Ste 225
Jacksonville Beach, FL 32250
Phone (904) 241-1204

1577 Roberts Dr
Ste 320
Jacksonville Beach, FL 32250
Phone (904) 247-3324

1577 Roberts Dr
Ste 225226
Jacksonville Beach, FL 32250
Phone (904) 241-1204

Interoperability endpoints

  • Direct secure messaging: edwardyoung@joi.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1306840772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078568",
            "telephone_number": "904-346-3465",
            "fax_number": "904-241-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 ROBERTS DR",
            "address_2": "SUITE 225",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503264",
            "telephone_number": "904-241-1204",
            "fax_number": "904-241-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EDWARD",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME57493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3704157-00",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joireferrals@joi.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Jacksonville Orthopaedic Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "1577 Roberts Dr",
            "address_2": "Suite 225",
            "city": "Jacksonville Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322503264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.